Look Good, Feel Good: SLUCare Cosmetic Dermatology

04/18/2016

Pictured above: Dr. Natalie Semchyshyn and patient

SLUCare specialist uses new procedure to reduce appearance of chin and neck fat

Because people are living longer and working longer, they want the way they look to
match the way they feel. "Back in the old days," says Dr. Natalie Semchyshyn, SLUCare Physician Group cosmetic dermatologist, "surgery was the only option for
looking younger, but now, ‘small' treatments like Kybella are making a big difference. It's very exciting."

When it comes to an aging face, says Semchyshyn, it's about balance: "The cheeks sag,
the skin at the eyes and temples thins, the chin comes out." But Semchyshyn says by
addressing issues like a double — or triple — chin, balance can be restored for youthful
results. Kybella, she says, is proving particularly effective for neck fat, and may
have implications for fat in other areas of the body in the future.

If a person gains a large amount of weight after the procedure, they would gain it
in another part of the body.”

Kybella, which was FDA-approved in 2015, is a lab-manufactured version of deoxycholic
acid — a naturally occurring substance in the body that aids in the breakdown and
absorption of fat cells. Semchyshyn says it is administered by injection and two to
four treatments are typically performed two months apart. She explains that once destroyed,
fat cells can't reform. "If a person gains a large amount of weight after the procedure,
they would gain it in another part of the body," she says.

Semchyshyn, who participated in FDA testing, calls the procedure "remarkably safe,"
and says it has minimal side effects. She cites swelling, soreness and numbness as
usual reactions, and recommends that patients lessen bruising by avoiding blood-thinning
compounds like aspirin, fish oils and vitamin E. In the worst case, she says a patient
might experience nerve damage, which could result in an asymmetrical smile. But she
says this condition is rare and completely reversible.

The treatments, which Semchyshyn says take little more than 15 minutes, involve mapping the area of chin fat with a grid of dots one centimeter apart, being careful
to avoid the nerves that run along the jawline. "We calculate the number of injections
based on the number of dots," she explains.

Depending on the size of the area, a person might need between one and three vials
of deoxycholic acid. Semchyshyn is quick to note that the Kybella needle is very small
and treatment proceeds quickly. "Patients may experience an intense feeling of warmth
caused by the destruction of fat cells," she says, "but ice packs help to alleviate
the sensation."

Semchyshyn says in some cases, improvement may be visible after the first treatment,
however most people see significant results after the second treatment. "In a younger
person, the neck goes right back," she says. "But an older person with skin laxity
may notice a slight increase in sagginess." Most people, however, are happy just to
have the fat gone, she adds.